Question 1

Do I really have a sinus infection every time I get a cold?

Accepted Answer

It is very common for viral colds to cause temporary congestion, facial pressure and a heavy feeling in the head, and many people describe this as a "sinus infection". In most cases, these symptoms settle as the cold improves and there is no true bacterial infection. If every minor illness seems to lead to severe pain, thick discoloured mucus and symptoms that drag on for weeks, there may be an underlying problem such as chronic rhinosinusitis or poor sinus drainage. If this is happening regularly, it is sensible to speak with your GP about whether an ENT assessment at a clinic such as Melbourne ENT would be appropriate.

Question 2

Can allergies on their own cause sinus infections?

Accepted Answer

Allergies by themselves do not directly cause bacterial sinus infections, but they can set the scene for infections to develop. When the nasal lining is swollen and producing excess mucus, the narrow sinus openings can become blocked. Trapped mucus provides a favourable environment for bacteria to grow, which can then lead to an infection. For this reason, good control of allergic rhinitis using avoidance strategies, saline irrigation and appropriate medicines is an important part of reducing the risk of recurrent sinus flares.

Question 3

When should my child see an ENT specialist for allergy and sinus problems?

Accepted Answer

Most children will have occasional colds and mild hay fever without needing specialist care. You should consider further assessment if your child has nasal blockage that lasts for many weeks, snores loudly, seems to stop breathing briefly during sleep, or has repeated sinus or ear infections that affect school attendance and wellbeing. If you are worried about these issues, your GP can examine your child and decide whether referral to an ENT surgeon such as Dr Simon Braham at Melbourne ENT would be helpful.

Question 4

Are nasal steroid sprays safe to use long term?

Accepted Answer

Intranasal corticosteroid sprays have been used for many years and are generally considered safe when used as directed. They deliver a small dose of medicine directly to the nasal lining, with minimal absorption into the rest of the body. For many adults and children, they are an important part of long term control of allergic rhinitis and can help protect the sinuses from ongoing inflammation. Like all medicines, they can have side effects and are not suitable for everyone, so they should be used under the guidance of a GP or specialist, with regular review if they are continued over many months.

Question 5

Will I definitely need surgery to fix my sinus problems?

Accepted Answer

Most people with allergy related sinus flares do not go straight to surgery. The first step is nearly always medical treatment, including sprays, saline irrigation and careful management of triggers. Many patients improve significantly without an operation. Surgery is considered when there is clear evidence that structural problems such as a markedly deviated septum, nasal polyps or chronically blocked sinus drainage pathways are contributing to persistent symptoms, and when a thorough trial of medical therapy has not been enough. At Melbourne ENT, decisions about surgery are made collaboratively after detailed discussion of the potential benefits and the risks in each individual case.

Question 6

Do I need a referral and will Medicare help cover my care at Melbourne ENT?

Accepted Answer

In Australia, you need a current referral from a GP or another specialist to receive Medicare rebates for consultations with an ENT surgeon. This applies to appointments at Melbourne ENT with Dr Simon Braham. Many medically necessary ENT procedures, such as septoplasty, turbinate reduction and endoscopic sinus surgery, also attract a Medicare rebate when they are performed to treat conditions like chronic nasal obstruction or chronic rhinosinusitis. There may still be out of pocket costs, especially in the private system, so it is important to ask about fees in advance and to check details with Medicare and your private health insurer if you have one. The administrative team at Melbourne ENT can help explain likely costs and guide you on what questions to ask.

Category: ENT Surgery

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